Organization
SEASONS OF HOPE PSYCHOLOGICAL ASSESMENT AND TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATH JACOB SOMMER PHD (CEO)
(208) 237-9833
Entity
Organization
Contact information
Practice address
4650 HAWTHORNE RD, CHUBBUCK, ID 83202-2376
(208) 237-9833
(208) 237-1800
Mailing address
4650 HAWTHORNE RD, CHUBBUCK, ID 83202-2376
(208) 237-9833
(208) 237-1800
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
PSY202423
ID
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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